Gustovich Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

GUSTOVICH DERMATOLOGY, PLLC

Practice address

13192 Dallas Pkwy Ste 620
Frisco, TX 75033-4248

Phone

(972) 668-3376

Fax

(972) 668-3376

NPI assigned

Jul 25, 2025

Last updated

Jul 25, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carla Gustovich, MDNPI 1003981044

Title

Owner/Physician

Phone

(214) 336-8849

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carla Gustovich, MD

  • Dermatology Physician
  • Frisco, TX
  • NPI 1003981044
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1063394385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13192 DALLAS PKWY STE 620",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334248",
            "telephone_number": "972-668-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13192 DALLAS PKWY STE 620",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334248",
            "telephone_number": "972-668-3376",
            "fax_number": "972-668-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTOVICH DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "GUSTOVICH",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "214-336-8849",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hema Gupta, D.D.S.
• Prem P Gupta, M.D.
• Shweta Gupta
• Kavita Guragain, NP
• Gus Medical Solutions LLC
• Carla Gustovich, MD
• Spencer J Guthrie, LPC
• Eliseth Gutierrez Bridon
• Chrissie Gutierrez
• Regina Gwandua

• Dermatology Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.